Facelift: Q&A
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What is the Best Procedure to Lift the Midface?
I am considering a midface lift and would like to know which is the best & longest lasting procedure. A midface lift with endotine or a Soof lift. I would like to improve the nasal folds & feel my cheeks have become flat and sag. I have a bit of hollowness under my eyes. I would like to improve what I have been told is the "golden triangle". I also heard that a midface lift with endotine gives very little improvement and may only last a year. I had a facelift & it did not improve this area.
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23 Doctor Answers |
Asked by
July4
in USA
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Midface surgery simplified
As the originator of the SOOF lift blepharoplasty I can tell you that in my opinion this is the best procedure for improving the hollow look under the eyes that accompanies the aging process. I've been doing nothing but this procedure since I originally published this approach around 1999 in the Archives of Facial Plastic. As far as improving the nasolabial fold a SOOF lift by itself will help minimally. Most of my patients that have midface laxity have laxity elsewhere and have a deep...
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Best Mid Facelift Procedure? It Depends On Your Face
Dear July4-
Your knowledge about mid facelift surgical options is impressive. Endotine mid facelifts seem not to last as long as we initially thought, so more plastic surgeons are looking at a straight forward blepharoplasty, with possible fat grafting to the cheek areas.
A "deep plane" facelift is an option, but increasingly, most plastic surgeons are doing "less" surgery, not more, in the area of the cheek...
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Best midface lift
I just got back from Vancouver wher the biggest plastic surgery conventian was held. Mos experienced plastic surgeons have stopped doing mid facelifts and ar doing careful balanced fat injection.Dr. Paul in one of his lectures stated about 1/3 of mid facelifts need revisions.
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What is the Best Procedure to Lift the Midface?
In my aesthetic judgement, it's not lifting the midface but shaping it that should be the primary goal in any Face Lift or facial rejuvenation procedure. The shape, of the midface = cheeks, has the aesthetic ability to make the face appear young, old, male, female, attractive or less so.
Naturall, more attractive and youthful faces all have aesthetically shaped cheeks. A minimum incision Face Lift with proper cheek shaping using fillers like Perlane or...
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A Youthful Look in The Midface Can be Achieved With a Combination of Procedures
Endotine midface lift procedures have questionable longevity and efficacy. A better midface lift can be achieved with volumization of the mid face area, laser skin tightening, and possibly blepharoplasty. Most patients get excellent results with volumization and also skin tightening with external laser resurfacing without the need for eyelid surgery. Fat grafting and the use of fillers are excellent procedures. Fat grafting may last longer than typical commercialized fillers...
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Best procedure to lift the midface
A set of photos would really help to provide you with the best advice. In general, the results of a full facelift can last up to ten years before any touch ups are necessary, and it is the most effective procedure. A full facelift addresses the following areas:
1) neck 2) Jowls and 3) Midface. Each patient has different circumstances, and a thorough in-person evaluation will help determine the best procedure for you.
Depending on your needs and goals, a less invasive procedure...
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Charlotte Facial Plastic Surgeon
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What is the most effective way to lift the mid face?
There are a variety of opinions on how to address aging in the mid face. Some surgeons prefer the surgical approach, others prefer volume restoration, some use a combination of both. As the mid face ages the fat shrinks and sags, simply lifting the mid face can create a windswept, hollow look. Replenishing volume in the mid face often creates a more three-dimensional, natural rejuvenated look. I frequently use fat in the mid face and find it to be very effective at creating a more natural,...
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Best mid face lift
I do not like Endotine - have seen too many complications of other surgeon's work.
A standard face lift does not improve the area (as you discovered) but doing the extension of the MACS face lift - extending the facelift incision to lift the temple and apple of the cheeks - has given my patients beautiful results. This can be done separately after a face lift. A lateral brow lift may give you some additional lift, again safely and without distortion.
Above all, see...
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Restoring Volume to the Midface
The midface in youth has volume and the cheeks are sometimes referred to as “apples”. As time goes by or after childbirth and weight loss, the midface area loses volume and becomes more flat. In the late 90′s, some surgeons interpreted this loss as a drooping of the midface and believed the area need to be lifted.The Midface or area of the cheek has been a controversial area in the field of cosmetic surgery. There are some surgeons who believe in lifting the mid face with...
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I think at best it is important to understand that mid face surgery is controversial.
Midface surgery and midface concepts are relatively recent additions to the practice of cosmetic oculofacial plastic surgery. As a pioneer of some these methods, generally mid face methods are great for medically necessary reconstructive surgery but not so great for primary cosmetic purposes. For the most part, hyaluronic acid fillers for the mid face are a much safer, more predictable way of improving mid face ptosis. There is no such thing as mid face cookie cutter...
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The longest lasting midface lift
The longest lasting midface lift or any facelift for that matter will depend on tissue to tissue heaing to hold the shape. Suspension such as threads or endotine hooks may only hold as long as the sutures or tissue hooks will hang on. We like endotine in the forhead, however repositioning tissue along the fold and lid hollows (soof), and even fills (lipotransfer) are something worth considering.
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Individualize midface lift for best results
Everyone's situation and goals are a little different, so we need to have a range of options available. Often the issue in the midface relates more to volume than lifting, so procedures like fat grafting can accomplish a lot with a minimally invasive approach.
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There is no 'BEST' facial cosmetic procedure
Unfortunately there is no BEST procedure when it comes to facial cosmetic surgery. When discussing the midface you have several options including fat transfer to the face, midface lift as you point out, deep plane facelift, fillers, and a couple of variations on these. If you visit with a facial plastic surgeon who has experience with all of the procedures you will get the best evaluation possible. Obviously a consultation would be necessary to answer your question but from the bried...
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Best Procedure to Lift the Midface
There are some people who can benefit from a traditional midface lift. However, fat resuspension or restoration can be performed through any number of techniques without the risks associated with the more conventionally defined midface lift. Find the plastic surgeon with ELITE credentials who performs hundreds of facelift procedures each year. Kenneth Hughes, MD Los Angeles, CA
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Best for the Midface
In my opinion the volume in the midface needs to be augmented rather than pulled. Commercially available fillers and a patients own fat can be excellent choices. This can be compbined with lower eylid fat repositioning when appropriate to complete the result. In most case and intergrated approach works best. See a surgeon who has all the tools to give you the best results possible
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Midface lift what is the best to lift the middle part of the face
I personally do not like midface lifts. I think that the face loses a lot of volume when they age and it moves inward and downward. Traditional procedures tend to lift upward and inward which brings you to a point that is not like what you started with. Filling is better than face lifting in my opinion.
see video
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Midface
Typically, a combination of surgery and volume replacement is needed to address the mid face. An in person consultation would be needed to determine the optimal approach. Consult with 3 - 4 board certified plastic surgeons to explore your options.
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Procedure to lift flat sagging midface
The best midface correction is a cheek augmentation. This is a volumetric augmentation of the entire cheek, which is exactly the reverse of what occurs during the aging process. As we age there is loss of fat and tissue volume, which is a three-dimensional loss. A cheek lift or a SOOF lift is a one dimension vertical lift and does not address volume loss from aging.
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Subperiosteal midface lift lasts the longest.
It sounds as if you need some volumization as well as lifting in the midface. In my experience, the subperiosteal midface lift provides the greatest longevity, and this can be performed from a lateral (transtemporal) approach, or from a lower eyelid approach. The latter improves hollows under the eye more effectively, but should not be used in patients wih a "negative" vector or prominent eyes due to the risk of scleral show and inferior lid malposition. The type of fixation does...
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What is the Best Procedure to Lift the Midface?
I have always found the Endotine technique to work well with good longevity, but many studies have shown the results are about the same with any of the midface lifts when done by an experienced surgeon.
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Midface lift vs. fat transfer.
Midface lift vs. fat transfer depends on what one finds on examination. It sounds like you would best be served by a cheek lift with an Endotine to accomplish what you said. The Endotine will fix the tissue to the bone and gives excellent results over the long term.
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Midface lift
A mid-face lift will have minimal effect on the nasal labial folds,particularly if you have already had a face lift. A better solution may be fillers or fat grafting.
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Mid-Facelift
Hi,
A midface lift should elevate the midface triangle and lateral brow area. I perform mid-facelifts through a temporal incision. I believe this allows for the best lateral and mid-face elevation. See the video link below for more info.
Best,
Dr.S.
see video
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